脾萎缩伴暴发性肺炎球菌败血症

邹启园; 王其南; 刘秉瑜; 钱韵兰

doi:10.13406/j.cnki.cyxb.1990.04.021

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脾萎缩伴暴发性肺炎球菌败血症

更新时间：2024-01-17

- 脾萎缩伴暴发性肺炎球菌败血症
- ATROPHY OF THE SPLEEN COMPLICATED WITH OVERWHELMING FNEUMOCOCCAL BACTEREMIA
- 重庆医科大学学报 1990年第4期页码：314-317
- 作者机构：
  
  1. 重庆医科大学第一医院传染病教研室
  2. 重庆医科大学病理解剖教研室
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.1990.04.021
  中图分类号：
- 纸质出版日期：1990，
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[1]邹启园,王其南,刘秉瑜,钱韵兰.脾萎缩伴暴发性肺炎球菌败血症[J].重庆医科大学学报,1990(04):314-317+350.

Zou Qiyuan, et al. ATROPHY OF THE SPLEEN COMPLICATED WITH OVERWHELMING FNEUMOCOCCAL BACTEREMIA[J]. Journal of Chongqing Medical University, 1990,(4):314-317.
[1]邹启园,王其南,刘秉瑜,钱韵兰.脾萎缩伴暴发性肺炎球菌败血症[J].重庆医科大学学报,1990(04):314-317+350. DOI： 10.13406/j.cnki.cyxb.1990.04.021.

Zou Qiyuan, et al. ATROPHY OF THE SPLEEN COMPLICATED WITH OVERWHELMING FNEUMOCOCCAL BACTEREMIA[J]. Journal of Chongqing Medical University, 1990,(4):314-317. DOI： 10.13406/j.cnki.cyxb.1990.04.021.

摘要

本文报告1例脾萎缩伴暴发性肺炎球菌败血症、脑膜炎、播散性血管内凝血（DIC）及华-弗氏综合征。血培养分离出肺炎球菌。尸体解剖发现脾萎缩、双侧肾上腺出血及坏死。显微镜检查有肺炎、脑膜炎、DIC及华-弗氏综合征的组织学证据。对本病的发病机理和防治进行讨论

Abstract

The authors reported a case of overwhelming pneumococcal infection in a hypo-splenic adult.The patient was treated with ten million units of aqueous penicilling G.but there was no effect.He died 28 hours after admission.Streptococcus pneumo-niae was isolated from the blood culture.Autopsy was performed 6 hours after death. The spleen was found to be atropluc and the weight was 100g. Bilateral adrenal hemorrhagic necrosis was found. Microscopic examination demonstrated evidence of p-urulent pneumonia

meningitis

disseminated intravascular coagulation and Waterhouse-Friderichsen syndrome.The pathogenetic mechanism

early detection and prevention a-re discussed

关键词

脾萎缩肺炎球菌

Keywords

Atrophy of the spleenPneumococcal

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